Development and evaluation of an interactive CD-ROM refusal skills program to prevent youth substance use : Refuse to use

An interactive CD-ROM program designed to reduce adolescent substance use was developed and evaluated. The program uses video vignettes to teach refusal skills and socially acceptable responses to substance use situations, specifically offers of marijuana. In a randomized pretest-to-posttest experim...

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Bibliographic Details
Published in:Journal of behavioral medicine 2000-02, Vol.23 (1), p.59-72
Main Authors: DUNCAN, T. E, DUNCAN, S. C, BEAUCHAMP, N, WELLS, J, ARY, D. V
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Behavior - psychology
Biological and medical sciences
CD-ROM
Desintoxication. Drug withdrawal
Female
Humans
Male
Marijuana Abuse - prevention & control
Medical sciences
Program Development
Program Evaluation
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Treatment Outcome
Treatments
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Summary:An interactive CD-ROM program designed to reduce adolescent substance use was developed and evaluated. The program uses video vignettes to teach refusal skills and socially acceptable responses to substance use situations, specifically offers of marijuana. In a randomized pretest-to-posttest experiment with 74 public school students from six classes in three high schools, significant changes were observed at posttest on (1) the adolescent's personal efficacy to refuse the offer of marijuana, (2) the adolescent's intention to refuse marijuana if offered, and (3) the adolescent's perceptions of the social norms associated with substance use and the importance of respecting another's decision to refuse a drug offer. In addition, adolescents in the treatment condition were able to recall approximately 50% of the portrayed refusal strategies. Findings are discussed with regard to the potential benefits of an interactive multimedia approach for conducting substance use interventions.
ISSN:0160-7715
1573-3521
DOI:10.1023/A:1005420304147